Organization Active NPI

Melanie Acevedo Valle LLC

  • Primary Care Clinic/Center
  • Aguada, PR
National Provider Identifier
1841858727
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MELANIE ACEVEDO VALLE LLC
Practice address
PR-115 R KM 0.1, Ave. Rotario
Bo. Asomante
Aguada, PR 00602-3133
Phone
(787) 238-0044
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Melanie Janice Acevedo Valle, M.D.NPI 1700140357
Title
Internal Medicine Physician
Phone
(787) 238-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

PR-115 R KM 0.1, Ave. Rotario
Bo. Asomante
Aguada, PR 00602-3133

Mailing address

HC 3 Box 39616
Aguada, PR 00602-9794
Phone (787) 238-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190702000018 PR Part B Supplier - Clinic/Group Practice 6800120445 Receives reassigned benefits from 1 practitioner
Practice locations: Aguada, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1841858727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 39616",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006029794",
            "telephone_number": "787-238-0044",
            "fax_number": "877-368-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR-115 R KM 0.1, AVE. ROTARIO",
            "address_2": "BO. ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023133",
            "telephone_number": "787-238-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE ACEVEDO VALLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO VALLE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JANICE",
        "authorized_official_title_or_position": "INTERNAL MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "787-238-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.